Loading...
25C-268 BSC Information Sheet 513 for All Climates When the slab is independent from a perimeter from the perimeter foundation wall. Limiting foundation wall, insulation may be installed either factors on the width of the slab edge insulation in on the exterior of the foundation wall or between this situation are determined by attachment of the foundation wall and the slab. In order for the floor finishes and width of foundation wall slab to be independent of the foundation wall, a needed to support the wall structure. bond break is needed between the slab, which is Whenever insulation is used in contact with supported on grade, and the foundation wall that ground or near ground, appropriate insect control supports the exterior wall structure and its loads. measures must be used. Appropriate measures Insulation at the vertical slab edge and under the will vary by location. slab perimeter provides this bond break. The diagram to the right shows and example of a slab on grade that is structurally and thermally isolated Slab on Grade Independent of Perimeter Foundation Wall Vin o al —► Cavity insulation siding �— Gypsum board Rigid insulation (taped or sealed Joints) --/ Se gasket Sealant. adhesive or gasket Concrete slab Sealant, adhesive I Rigid insulation or gasket 1 as bond break material Protective membrane it e . also acts as ' capillary break <, Jti utl - ), ''4: 7 2r ✓ "`., ,' j i. - Expanded polystyrene Ground slopes rigid insulation under away from entire slab wall at 5% Granular capillary (6 in. per 10 ft.); break and drainage pad (no fines) . Concrete foundation wall Slab is insulated vertically at the edge and horizontally at the . perimeter or under the entire slab i 1 Rigid insulation provides bond break between slab and . Concrete footing foundation wall below frost depth Protective membrane adhered to both slab and top of foundation wall Suggestions for Further Research: "Understanding Basements," Building Science Digest -103, www.buildingscience.com. "READ THIS: Before You Design, Build, or Renovate," Building Science Primer -040, www.buildingscience.com. Lstiburek, Joseph W.; Builder's Guide Series, Building Science Press, 2006. i © buildingscience.com 2 of 2 • City of Northampton Massachusetts t, ¥ � DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060sN INSPECTOR Matt Wilcox 7 Porter Street South Deerfield, MA 01373 April 29, 2011 Map Block: 25C - 216 Location: 32 Walnut Street Mr. Wilcox: The plans for the Single Family Residence dated 3 -1 -11 have been approved as noted; 1. Structure must conform to 780 CMR 8 addition 1 and 2 family building codes with MA amendments. 2. Energy aspects must comply the stretch energy code. (appendix 120AA) 3. Deck ledgers and post must be bolted. 4. Appropriate emergency escape windows per code. 5. Smoke and CO detectors as required per code. 6. 50% High efficacy lighting. 7. A complete header schedule is required. 8. All framing materials which are not code prescriptive must have engineering. a. LVLs b. I -joist and or Floor Truss c. Roof truss 9. PT separating the porch slab from the wood members. 10. Heat loss calculations room by room and equipment sizing. 11. Warms air systems require the licensed sheet metal contractor to take a permit and submit a line drawing and supply /return air flows. These items must be submitted to the building department for approvals before a rough inspection can occur. Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiller(a northamptonma.gov Thank ou for your co perat • n i . • matter. uck Miller City of Northampton Assistant Commissioner and Zoning Enforcement cmiller(a�northamptonma.gov Door and :WIntlo Specifications n Exterior Doors °Insulated Steel iberglass :Wood DOther ❑Storm l Windows ❑Clear E rgon fille Y t'Gri t ot V10( °Wood frame Mnyl frame ❑Other Manufacturer NFRC whole -unit U -Value NFRC whole -unit SHGC Mechanical Specifications Heating Equipment ❑ Gas DOi1 oGeoExchange @e her °Hydro Air DOpen Loop °Closed Loop ❑Warm Air DHot Water °Radiant Floor ❑Other Gas EVented OUnvented Rated output capacity (Btu/hr or tons) AFUE or COP rating Cooling Equipment DCentral A/C DGeoExchange Rated output capacity (Btu /hr or tons) SEER Domestic Hot Water °Gas :Oil ❑Electric oGeoExchange DDesuperheater 00the °Dedicated r °Stand alone ❑Indirect °instant- OTankless Coil :Other fired aneous Rated output capacity (Btu/hr or tons) Energy Factor (EF) Ventilation System 0 Exhaust -only (rated for continuous EHeat Recovery Ventilator operation) Mail an entire set of plans and the Home Specification Form and Analysis Fee, if applicable to: Center for Ecological Technology • 26 Market Street • Northampton, MA 01060 Please call 800- 369 -3333 ext.21 or email meganm@cetonline.org with any questions or for additional assistance. A � ■ '. e a s h New with E NERGY STAR® t i f' Nt q Horne e i i at or s Form Complete this form if you are interested in applying for incentives as part of the 2008 -2009 Program. This information will be used by a HERS rating company to help you select the building specifications to qualify your home as ENERGY STAR and determine the incentive(s) your horne(s) can achieve. Once completed, you can submit an Application and Agreement Form or incentives based on your homes energy performance. Complete information must be submitted with full -sized copies of the building plans, including: ❑ Plans: foundation, floor, and site plan indicating building compass orientation. ❑ Elevations indicating grade level for all sides of the building. ❑ Sections to clarify any cathedral/vaulted ceiling, floor level, and wall assembly details. ❑ Complete window schedule with rough opening d ❑ Indicate on plans all window sizes or indude reference labels from window schedule. Important Note: For homes over 5,000 square feet, a fee of $10 for each 100 square feet over 5,000 will be charged to the Applicant. (Example: a 6,600 s.f. home exceeds 5,000 by 1,600 s.f. Therefore, the fee is 1600/100 x $10 = $1 660.) 'ICo ct 1fnfoltn tIOl j Applicant Company Name: Primary Contact:: Contact Phone: Email: C, Project Name & Address: Project City: Electric Service Provider: 3), \i\J CA 1 4,)+ S -1- l 0 i'lli \ (1,1 n c(A I L Y ‘C.) Number of Market Rate Units: Number of Low- Income Estimated Completion Date: Units: fi .Z(1 t t nsulab peci icattons s: s , Insulation Location Insulation Insulation R- Insulation Stud /Joist Spacing Thickness Value Type* (o.c.) Flat ceilings (w/ attic above) - 3' .'3.-- S C e lk v o-.; Sloped /cathedral ceilings t i i , , , ,1 Exterior frame walls t +, A X dL) '0 � CF (ku'o � 0 .44. Rim /Band joists ., , ,. , , Floor over unconditioned basement Floor over garage G Cantilevered floor y1 Ci. Foundation walls 3'i \1 -'her NIcki- Basement frame/walkout walls ti,.N O. Under -slab insulation --- Ins. width (feet) Slab perimeter insulation Ins. depth (inches) If foam insulation is used, specify type, such as: isocyanurate, expanded or extruded polystyrene, etc. MUNICIPAL SEWER/ AVAILABILITY APPLICATION ' Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 32 Walnut Street, Northampton Inquiry Made By: 2/8/11 Date of Inquiry: Gottschnag- Guidera /Karl's Excavating Reason for New Construction 549 -5396 Request: Municipal Sewer Main in Front of Location: Yes ''c No Municipal Storm Drain Available: 5 1 /2 deep Yes No Size of Sewer Main: : ' ( Material: (`; J /1-Y Age: / Ci.., 7 (8) / / (zy) Depth of Sewer Main: 6 1 g Size of Service Connection: Li 1 J /< P/6 i_t� Al Type of Service Connection: Tie -in to Sanitary Main Tie -in to Sanitary Stub Comments: 6 �= `- L, / �1 _ / _ 2 Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. ` Cl- 'Y,Q.> iL f John Ha J Sewer Department cc: Ned Huntley, Director DPW Louis Hasbrouck, Building Commissioner bad l SI z -/h'f t MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 - 1 097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 32 Walnut Street, Northampton Inquiry Made By: Gottschnag - Guidera /Karl's Excavating Date of Inquiry: 2/8/11 549 -539 Number of Type of Single Family Type of Private Units: Unit(s): Accessory Apart. Ownership: Condo Multi- family Rental (Annlicant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: X No Size of Water Main: 6" Material: Cast Iron Age: 1921 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 110 If done attach results Size of Service Connection 3/ Suggested Meter Size: 5/8" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. It appears there is an existing service to the property line, cannot confirm until Spring • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. • _ ement• of such installati hall be made with the Northampton Water Depattinent with a minimum of 5 worki : days no 'fic n. • All wor, hall confo o rtha on Water Department specifications. _ p David W. Sparks, Superintendent of Water Water Entry $200.00 Meter $100.00 Radio $100.00 cc: Ned Huntley, Director cc: Louis Hasbrouck, Building Commissioner Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. Ate° CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYYI ko...► 4/13/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nancy Thompson Bourbeau & Hinch Insurance Agency, Inc_ PHONE (413)566 -5584 ( Noj Ials) zi37 E -MAIL 2 Allen Street ADDRESS nancyebhins • com i'ft'00t3CER — — _ _�iWNERIfZe Hampden MA 01036 INSURERISI AFFORDING COVERAGE NAIC # INSURED INSURER A :Patrons Mutual INSURER B: Matthew Wilcox, DBA: Wilcox Builders 1 INSURER CS , 7 Porter Street 1 INSURER D. INSURER E So Deerfield MA 01373 + INSURER F : COVERAGES CERTIFICATE NUMBER:CL1141305324 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO LM -ITCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I .." __...__.. ._..__ .__.. ._ - -_ _. -- -_- POIiCY EFF� POIICV EXP i _.. _.___.___. _.,— ._..__..... —_ -._ LTR TYPE OF INSURANCE I 1NSR i WVD'. POLICY NUMBER r (MMIDIYYYYY} . (MMfDD'YYYY} ' UMITS '. GENERAL LIABILITY : i , j , EACH OCCURRENCE _ __ ` $ 1,000,000 . X COMMERCIAL GENERAL LIABILITY { { DAFIIAGE - Tb - R NTEb - - { PREMISES Fn occur erce $ 100,000 i r I _ 4/10/2011 14/10/2012 — ._ A CLAIMS -MADE ; X OCCUR TR00117 31 MED £XP iAny one pe so S 15,000 -_ . PERSONA( %ADV INJURY — . $ 1,000,000 I. GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER I } PRODUCTS COMP ;OP AGG 1 2,000,000 X POLICY . I JF I 1 LOC . 1 $ I AUTOMOBILE LIABILITY , COMBINED SINGLE LIMIT $ ---.7 ANY AUTO ; (la acc ierl I BODILY INJURY {Per ^erscx�i R i I ' ALL OWNED AUTOS , -- -- 1____ - - BODILY INJURY ;Per acc:denE 1 • SCHEDULED AUTOS -- ------ - - - - -- - 1 PROPERTY DAMAGE $ HIRED AUTOS 1 : Per acc Iert1 NON -OWNED AUTOS • j 4 1 UMBRELLA UAS ; OCCUR EACH OCCURRENCE 1 �^ • . — EXCESS LIAB 1 -- _... . -. f CLAIMS -MADE ( AGGREGATE $ DEDUCTIBLE ! 0 - $ RETENTION $ --r 5 WORKERS COMPENSATION I T WC S ATU- - 1O H -I • AND EMPLOYERS" LIABILITY Y! N j LIDRY11M:TS.., . Eft __ . ANY PROPRIETOR/PARTNER/EXECUTIVE , NI A - r E.L. EACH ACCIDENT 1 $ I OFFICER/MEMBER EXCLUDED, [ { .... ..- - - - (Mandatory in NH) I ,' ' E L DISEASE - EA EMPLOYEE 1 If yes describe under I _ ., r r - .__.�._ -- _.._..—'_ -__.._.__.. DESCRIPTION OF OPERATIONS below E.L DISEASE - P0L CY LIMIT S i ' DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Ranarks Schedule, if more space is required} CERTIFICATE HOLDER CANCELLATION wilcoxbuilders @msn. corn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Greg & Marie Quill ACCORDANCE WITH THE POUCY PROVISIONS. 23 East Hadley Rd. - - - -- - -- - -- Hadley, MA 01035 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) ) g 0 1 rights reserved. INS025 r2oosoel The ACORD name and logo are registered mark 2008 ACORD COR#�ORATION. All ri of ACORD ,, The Commonwealth of Massachusetts .. Department of Industrial Accidents ' - - ' Office of Investigations 1 llt 1 600 Washington Street , -� Boston, MA 02111 r O ''' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): \N( V I c (j y t3 U, k i Q f' Address: 1 P( rfe r 5+ City /State /Zip: '�j b ' & A C i S 3 Phone #: Lk 13 (C) (C C - 9 (n 9 Areu an employer? Check the appropriate box: Type of roject (required): 1. u I am a employer with D., 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. I�T construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in capacity. employees and have workers' g any P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box 441 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. , ^ Insurance Company Name: E ' C Cl... �� h s Y V l C Ak Lka A Policy # or Self -ins. Lic. #: CT Z.. CX) \ \ — 1 3 ) Expiration Date: Li - 1 0 Job Site Address: 3 a vi o.\ h c t City /State /Zip: Y 6 r" a / h 6 1 A Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce fy under the pains and penalties of pedury that the information provided above is true and correct Signature / �' Date: // /// Phone #: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: ROSEMUND,LLC 32 WALNUT STREET - Building Permit Fees 1ST FLOOR 925 $0.50 $ 462.50 2ND FLOOR 925 $0.30 $ 277.50 3RD FLOOR 490 $0.20 $ 98.00 GARAGE 0 $0.20 $ - BASEMENT 925 $0.20 $ 185.00 FRONT PORCH 150 _ $0.20 $ 30.00 REAR DECK 0 $0.20 $ - Total SF Usuabl' 2340 Total Fee Ck DA 1 WALNUT ST w attic 4/12/2011 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : � o* J ` i' C' n SC I r,f l ( `co \A 1S LA. l� hell � - 1S - LI Lit n 1 ( G"1 License Number - ) '1('`)%(ke ) c 6-Rci MA 3(3 3 (pi a.v1 Address Expiration Date ignature Telephone 0[3) G3(42 C -)..(0S 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date — Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellines of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildine permit, As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House Ed Addition [] Replacement Windows Alteration(s) ❑ Roofing J Or Doors E Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding [D] Other [o) Brief Descriptipn of Proposed, 11 I _ Work: `� k\„�14 - krs \, 1n.Q�LJr�t,�� w Sv f ra.w� -e � v,�,r S icQirt r�►1f erorcv\ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family / Two Family Other % b. Number of rooms in each family unit: t rr o Number of Bathrooms 3 c. Is there a garage attached? no ' v d. Proposed Square footage of new construction. � � 0 Dimensions ¶X 31 pi k S � � i /� ' I rt e. Number of stories? f. Method of heating? Yl0k u v Cl S Fireplaces or Woodstoves 0 Number of each g. Energy Conservation Compliance..CC I Masscheck Energy Compliance form attached? h. Type of construction J OCSG. 4 (&'MP cf.. / i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes ✓ No 1 + j. Depth of basement or cellar floor below finished grade �/� k. Will building conform to the Building and Zoning regulations? V Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative work authorized by this building permit application. Signature of Owner Date Y 1 1 1� � j `� Q V'v k ( Li—G , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. YNIN t\ p CQ \J.,\ Print Name Signature of Owner /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size . 1 9c,. 130 Frontage 59 — 2 c 1 Setbacks Front c Side L: R: L: \ 1 R: \1 Rear (o3 Building Height Bldg. quare Footage % �('� ° _ .40 c�Y;a�tw�, _ +�r�� ,3 1 — Open Space Footage (Lot area minus bldg & paved t 5 �U parking) # of Parking Spaces y Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for/ the site? NO 0 DONT KNOW 0 YES IF YES, date issued: Lk —( 0 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book \ o t.‘ c{ Page 3 C and/or Document # 264 CN000 t{ f?�� B. Does the site contain a brook, body of water or wetlands? NO G"DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exca tion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r;. Sell Signature SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 1 70 1 ©00 2. Electrical - c)d (b) Estimated Total Cost of Construction from (6) 3. Plumbing ' C U O 0 Building Permit Fee 4. Mechanical (HVAC) i r U O � V 1 i `7, 117. D�� 5. Fire rrotection 6. Total = (1 + 2 + 3 + 4 + 5) 1 ( -j C)C) I Check Number pri j L,. , _ ,; 4 ,4 1 ection For Official Use OnI Building Permit Number: s Isssuu ed: Signature: , Building Commissioner /Inspector of Buildings Date an File # BP -2011 -0839 APPLICANT /CONTACT PERSON MATT WILCOX ADDRESS/PHONE 7 PORTER ST SOUTH DEERFIELD (413) 665 -8269 PROPERTY LOCATION 32 WALNUT ST MAP 25C PARCEL 216 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid rJ/7 CO 1) 3 Tvpeof Construction: CONSTRUCT 2 1/1 SFH W /PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 07544002/4,1a ta. co" _ ] _ 0 2 PZ* 3 sets of Plans / Plot Plan 1 ►mob THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9MIATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management em. ition Delay 9 Signature of Buildi • 0 ffic. r ` Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 32 WALNUT ST BP-2( GIS #: COMMONWEALTH OF MASSACHUSI Map:Block: 25C /// tt t�' (, e- M CITY OF NORTHAPTON Lot: - 001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: New Single Family House BUILDING PERMI Permit # BP- 2011 -0839 Project # JS- 2011- 001389 Est. Cost: $207000.00 Fee: $1053.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 MATT WILCOX 075440 Lot Size(sq. ft.): 14810.40 Owner: ROSEMUND LLC Zoning: URC(100)/ Applicant: MATT WILCOX AT: 32 WALNUT ST Applicant Address: Phone: Insurance: 7 PORTER ST (413) 665 -8269 SOUTH DEERFI ELDMA01373ISSUED ON:5/5/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 1 / SFH W /PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 5/5/2011 0:00:00 $1053.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner Sn • 4 ' Department use only City of Northampton Status of Permit: uilding Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability Room 100 WaterJWell Availability ampton, MA 01060 Two Sets of Structural Plans 13-687-1240 Fax 413 -587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office W t.., v Map Lot (.d Unit Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: KC)l Y`n ■ a v■ < L-C �3 1 � a \ r9, Ha( )t\Q ki 6IO Name (Print) Cu r nt Mailing Address: CA"C Telephone Signature 2.2 Authorized Agent Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ( UI O 00 (a) Building Permit Fee 2. Electrical - a C.)o (b) Estimated Total Cost of Construction from (6) 3. Plumbing 1 5.l U O G Building Permit Fee 4. Mechanical (HVAC) /} 5. Fire Protection t 0 0 0 6. Total = (1 + 2 + 3 + 4 + 5) ACD --/ r Q C) ( Check Number 0 2/74. ,f /i 0 53 • 4 / ,, • , / ,4 - 4 , 1 • ' ection For Official Use OnI Building ermit Number: Date g Issued: Signature: Building Commissioner /Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size . 1 9c , iE cf Frontage Setbacks Front a5 Side L: R: L: ' 1 R: \`\ Rear ( a3 Building Height 34 Bldg. Square Footage % [ J Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for/ the site? NO 0 DONT KNOW 0 YES IF YES, date issued: U- -( IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book t.kct Page 3 and /or Document # 264 Cs600 B. Does the site contain a brook, body of water or wetlands? NO G"DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exca tion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. File # BP -2011 -0839 APPLICANT /CONTACT PERSON MATT WILCOX ADDRESS /PHONE 7 PORTER ST SOUTH DEERFIELD (413) 665 -8269 PROPERTY LOCATION 32 WALNUT ST MAP 25C PARCEL 216 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �y� Fee Paid )/,( 14J) i 3 Typeof Construction:_CONSTRUCT 2 1/1 SFH W/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 075440 ( lQ 6.0 4 pop. 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management em• ition Delay y 0.o.„..- 2-- // Signature of Buildi !e ffic f' Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 32 WALNUT ST BP- 2011 -0839 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C - / g r CITY OF NORTHAMPTON Lot: -001 / / / /// PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: New Single Family House BUILDING PERMIT Permit # BP- 2011 -0839 Project # JS- 2011- 001389 Est. Cost: $207000.00 Fee: $1053.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 MATT WILCOX 075440 Lot Size(sq. ft.): 14810.40 Owner: ROSEMUND LLC Zoning: URC(100)/ Applicant: MATT WILCOX AT: 32 WALNUT ST Applicant Address: Phone: Insurance: 7 PORTER ST (413) 665 -8269 SOUTH DEERFIELDMA01373ISSUED ON :5 /5/2011 0 :00 :00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 1 /1ySFH W /PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET �/ Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 5/5/2011 0:00:00 $1053.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner